Effect of crew resource management training in a multidisciplinary obstetrical setting

Area of Science:

• Medical Education
• Patient Safety
• Healthcare Management

Background:

• Effective teamwork and communication are critical in high-risk environments like obstetrics.
• Crew Resource Management (CRM) principles, proven in aviation, offer a framework for improving team performance.

Purpose of the Study:

• To evaluate the impact of a tailored CRM intervention on teamwork and communication in a multidisciplinary obstetrical setting.
• To assess participant satisfaction, learning, and behavioral changes following the CRM training.

Main Methods:

• A before-and-after cross-sectional study was conducted with 239 obstetrics and pediatrics staff.
• Participants underwent a CRM training program focused on teamwork and communication.
• Satisfaction, learning, and safety attitudes were measured using validated questionnaires over one year.

Main Results:

• High participant satisfaction (63-90%) was reported.
• Significant improvements in knowledge of teamwork and shared decision-making were observed (P<0.05).
• Positive changes in team climate, safety attitudes (OR 2.9-4.7), and stress recognition (OR 2.4-3.0) were documented.

Conclusions:

• CRM training is well-accepted in multidisciplinary obstetrical settings.
• The intervention effectively enhances interprofessional teamwork and communication.
• CRM implementation contributes to a safer and more collaborative healthcare environment.